Table 2.
Checklist for cultural and contextual adaptation of community-based health interventions (CBHIs).
| Topic | Contextual/Cultural Aspects | Yes | No |
|---|---|---|---|
| 1. General | 1a. Gender differences | ||
| 1b. Ability to read/write | |||
| 1c. Age friendly methods, addressing differences between generations; if end-users were adults, adult learning methods were applied | |||
| 1d. Digital inclusion/exclusion | |||
| 2. Bodily functions | 2a. Perception of own body | ||
| 2b. Physical fitness (cultural and individual exercise options) and/or somatic complaints | |||
| 2c. Coping with stress and stigmatization of illnesses | |||
| 3. Mental well-being | 3a. Perceptions regarding health: individual differences | ||
| 3b. Local health traditions | |||
| 3c. Cultural influences in diet | |||
| 3d. Cultural influences on healthy living | |||
| 3e. Myths and facts regarding health promotion | |||
| 3f. Stigmatization of mental health, main issues | |||
| 3g. Psychological stress, sources | |||
| 3h. Feeling supported: role of peers, working together on health | |||
| 3i. Feeling of belonging: social cohesion, part of community | |||
| 3j. Availability of/barriers to informal resources: relatives/friends | |||
| 3k. Access to resources: Barriers to access healthcare and medicines | |||
| 3l. Barriers to access health information | |||
| 4. Meaningfulness | 4a. Religious and spiritual beliefs | ||
| 5. Participation | 5a. Family structure: role of elders, in-laws and siblings | ||
| 5b. Being able to participate, and having a role in usual community activities | |||
| 5c. Being able to participate and having a role in usual family activities (earning money, cooking and cleaning) | |||
| 6. Daily functioning | 6a. Availability of/barriers to healthy food | ||
| 6b. Current/past working life | |||
| 7. Quality of life | 7a. Social network, role of social structures in health, e.g., governmental and non-governmental organisations | ||
| 8. Role of implementer | 8a. Does implementer represent or have knowledge of healthy lifestyle? | ||
| 8b. Is implementer a role model for the target group? | |||
| 8c. Is implementer culturally and linguistically matched to target group? | |||
| 8d. Are participants treated equally and inclusively by implementer? | |||
| 8e. No stigma or discrimination by implementer? Inclusiveness, stimulation of participants to come with solutions for local issues? | |||
| 8f. Does implementer take into account cultural diversity of participants? | |||
| 8g. Does implementer take into account different levels of participant knowledge? | |||
| 8h. Does intervention enhance self-efficacy of participants? | |||
| 9. Lessons learned or other remarks: | |||